MEDICARE: DR. NIDA HAMEED M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RI0200X	Infectious Disease Physician	25MA08965400	NJ
2	207RI0200X	Infectious Disease Physician	53733	KY
3	207RI0200X	Infectious Disease Physician	ME119901	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881866218
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NIDA HAMEED M.D.

Provider Business Mailing Address
First Line	:	11543 CHATEAUBRIAND AVE
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32836-8888
Country	:	US
Telephone Number	:	862-571-6561
Fax Number	:

Provider Business Practice Location Address
First Line	:	102 PARK PLACE BLVD
Second Line	:	BLDG D, SUITE 2 & 3
City	:	KISSIMMEE
State	:	FL
Zip	:	34741-2358
Country	:	US
Telephone Number	:	407-944-4900
Fax Number	:	407-483-0688

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/26/2008
Last Update Date	:	05/14/2020

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